| Magical Smiles Pediatric Dentistry | |
|
918 Williston Park Pt Lake Mary FL 32746-2122 | |
| (407) 878-1318 | |
| Not Available |
| Full Name | Magical Smiles Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 918 Williston Park Pt, Lake Mary, Florida |
| Authorized Official Name and Position | Falastin Abu-samn (DENTIST/OWNER) |
| Authorized Official Contact | 4074170847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magical Smiles Pediatric Dentistry 918 Williston Park Pt Lake Mary FL 32746-2122 Ph: (321) 363-1889 | Magical Smiles Pediatric Dentistry 918 Williston Park Pt Lake Mary FL 32746-2122 Ph: (407) 878-1318 |
| NPI Number | 1659886034 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659886034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN22279 (Florida) | Primary |
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